| NPI | 1043274376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD063466L) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD063466L) |
| 208000000X Pediatrics (Licence: PA MD063466L) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD063466L) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-03-07 |